EP3730064A1 - Dispositif de fermeture d'incision de site d'orifice - Google Patents
Dispositif de fermeture d'incision de site d'orifice Download PDFInfo
- Publication number
- EP3730064A1 EP3730064A1 EP20171227.0A EP20171227A EP3730064A1 EP 3730064 A1 EP3730064 A1 EP 3730064A1 EP 20171227 A EP20171227 A EP 20171227A EP 3730064 A1 EP3730064 A1 EP 3730064A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- suture needle
- links
- closure device
- tool assembly
- incision
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0482—Needle or suture guides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/40—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0493—Protective devices for suturing, i.e. for protecting the patient's organs or the operator
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00637—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00663—Type of implements the implement being a suture
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/047—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06009—Means for attaching suture to needle having additional means for releasably clamping the suture to the needle, e.g. actuating rod slideable within the needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06042—Means for attaching suture to needle located close to needle tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
- A61B2017/2936—Pins in guiding slots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2944—Translation of jaw members
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
- A61B2090/506—Supports for surgical instruments, e.g. articulated arms using a parallelogram linkage, e.g. panthograph
Definitions
- the present disclosure is directed to a closure device for closing incisions, and more particularly, to a closure device for closing port site incisions after minimally invasive surgical procedures.
- Minimally invasive surgical procedures including laparoscopic, endoscopic, and arthroscopic surgical procedures are performed through cannulas positioned through small port site incisions in a body wall of a patient that access a surgical site.
- Minimally invasive surgical procedures impose less risk of infection and result in shortened hospital stays as compared to traditional open surgical procedures.
- an incision closure device including an elongate body, and actuation member, and a tool assembly.
- the elongate body has a proximal portion and a distal portion and defines a channel that extends from the proximal portion to the distal portion.
- the elongate body defines a longitudinal axis and supports a shield.
- the tool assembly is supported on the distal portion of the elongate body and includes a suture needle, a housing and first and second links.
- the suture needle has a proximal portion having a tip configured to penetrate tissue and a distal portion.
- the distal portion of the suture needle is pivotably secured to the first and second links of the tool assembly and the first and second links are pivotably secured to the housing.
- the actuation member is positioned within the channel of the elongate body and is coupled to the first and second links such that the actuation member is movable from a retracted position to an advanced position to move the suture needle from an inactive position in which the tissue penetrating tip of the suture needle is positioned within the shield to an active position in which the tissue penetrating tip is positioned outwardly of the shield.
- the suture needle defines a longitudinal axis that is substantially parallel to the longitudinal axis of the elongate body in the inactive position and in the active position.
- each of the first and second links defines an elongate slot and the actuation member is coupled to the first and second links by pivot pins that are positioned within the elongate slots.
- the distal portion of the actuation member includes a bracket having spaced side walls defining a channel, wherein the first and second links are received within the channel.
- the proximal portion of the suture needle includes a yoke defining a yoke channel, wherein the first and second links are secured within the yoke channel.
- the closure device includes a handle assembly, wherein the elongate body extends distally from the handle assembly.
- the handle assembly includes a drive member and a trigger, wherein the drive member is coupled to a proximal end of the actuation member and the trigger is coupled to the drive member such that actuation of the trigger causes movement of the actuation member between the retracted and advanced positions.
- the handle assembly includes a biasing member that is positioned to engage the drive member to urge the actuation member towards the retracted position.
- the handle assembly includes a housing and the housing defines a recess that receives the drive member.
- the housing includes a detent positioned within the recess and the drive member includes first and second concavities, wherein the first concavity is positioned to receive the detent when the actuation member is in the retracted position and the second concavity is positioned to receive the detent when the actuation member is in the advanced position.
- the trigger includes first and second triggers that are coupled to the drive member and movable in a scissor-like motion to move the actuation member from the retracted position to the advanced position.
- the triggers are coupled to the drive member by first and second drive links.
- Another aspect of the present disclosure is directed to a method of closing an incision including inserting a tool assembly and an elongate body of a closure device through an incision with the tool assembly in an inactive position, in which a tissue penetrating tip of a suture needle is positioned within a shield on the elongate body, to position the tool assembly within a body cavity; advancing an actuation member of the closure device to move the tool assembly from the inactive position to an active position in which the tissue penetrating tip of the suture needle is removed from the shield and positioned beneath a first side of the incision; retracting the closure device within the incision to move the tissue penetrating tip of the suture needle and a first end of a suture supported on the suture needle through tissue; grasping the first end of the suture and pulling the first end of the suture from the incision; inserting the tool assembly back into the body cavity; rotating the tool assembly to position the tissue penetrating tip of the suture needle beneath a second side of the incision; retract
- the method includes moving the tool assembly from the active position to the inactive position after inserting the tool assembly back into the body cavity.
- moving the tool assembly from the inactive position to the active position after rotating the closure device to position the suture needle beneath the second side of the incision.
- proximal is used generally to refer to that portion of the device that is closer to a clinician
- distal is used generally to refer to that portion of the device that is farther from the clinician
- endoscopic is used generally used to refer to endoscopic, laparoscopic, arthroscopic, and/or any other procedure conducted through small diameter incision or cannula.
- clinician is used generally to refer to medical personnel including doctors, nurses, and support personnel.
- FIG. 1 illustrates an exemplary embodiment of the presently disclosed port site incision closure device shown generally as closure device 10.
- the closure device 10 includes a handle assembly 12, an elongate body 14 defining a longitudinal axis "X", and a tool assembly 16.
- the handle assembly 12 includes a central housing 18 and a pair of triggers 20 that are supported on the housing 18 for movement in a scissor-like fashion to actuate the tool assembly 16.
- each of the triggers 20a, 20b includes a finger loop 21 for receiving a finger of a clinician's hand (not shown).
- the elongate body 14 has a proximal portion 14a that extends distally from the central housing 18 of the handle assembly 12 and a distal portion 14b that supports the tool assembly 16.
- the housing 18 may be formed as a unitary component or, as depicted in FIG. 3 , as two separate half components 18a, 18b, that are coupled to one another by one or more suitable coupling methods, e.g., screws, adhesives, welding or the like.
- the housing 18 defines a recess 22 that includes a rib 24 that extends longitudinally within the housing 18.
- the rib 24 includes a detent 26 ( FIG. 3 ) that is positioned on a distal portion of the rib 24 and is described in further detail below.
- the housing 18 supports a drive member 30 that is coupled to the triggers 20a, 20b by first and second drive links 32, 34, respectively.
- the drive link 32 has a distal end that is pivotally coupled to the drive member 30 by a pivot member 36 and a proximal end that is pivotally coupled to a central portion of the trigger 20a by a pivot member 38.
- the drive link 34 has a distal end that is pivotally coupled to the drive member 30 by a pivot member 40 and a proximal end that is pivotally coupled to a central portion of the trigger 20b by a pivot member 42.
- the distal portions of the triggers 20a, 20b are pivotally secured to a distal portion of the housing 18 by pivot members 44, 46 ( FIG. 3 ), respectively.
- the triggers 20a, 20b each define an opening 48a, 48b for receiving a respective one of the pivot members 44, 46.
- the pivot members 44, 46 axially fix the distal portion of the triggers 20a, 20b to the housing 18 while permitting pivotal movement of the triggers 20a, 20b in relation to the housing 18.
- the drive links 32, 34 are positioned to move the drive member 30 distally within the housing 18 when the triggers 20a, 20b are compressed together from a retracted position to an advanced position. More specifically, when the triggers 20a, 20b are compressed together, the links 32, 34 are moved from a position at an angle to the longitudinal axis "X" of the elongate body 14 towards a position aligned with the longitudinal axis "X". As the links 32, 34 move towards a position aligned with the longitudinal axis "X”, the drive member 30 is advanced within the housing 18 from a retracted position to an advanced position.
- the handle assembly 12 includes a biasing member 50 that is positioned within the housing 18.
- the biasing member 50 has a distal end that is supported against an inner distal wall 52 of the housing 18 and a proximal end that is engaged with the distal end of the drive member 30.
- the biasing member 50 urges the drive member 30 towards the retracted position to urge the triggers 20a, 20b via the links 32, 34 apart ( FIG. 2 ).
- the underside 30a of the drive member 30 ( FIG. 3A ) is configured to engage a proximal end of an actuation member 54.
- the distal portion of the drive member 30 defines a cutout 56 that is received within a slot 58 defined in a proximal portion of the actuation member 54.
- the proximal portion of the actuation member 30 is secured to the drive member 30 using any known fastening technique including, welding, pins, rivets, or the like, such that longitudinal movement of the drive member 30 is translated into longitudinal movement of the actuation member 54.
- the underside 30 of the drive member 30 also defines a first concavity 60 and a second concavity 62.
- the first and second concavities 60, 62 are longitudinally aligned with each other and with the detent 26 ( FIG. 3 ) of the half component 18b ( FIG. 3 ) of the housing 18.
- the detent 26 is received within the first concavity 62 of the drive member 30 when the drive member 30 is in the retracted position and received in the second concavity 62 of the drive member 30 when the drive member 30 is in the advanced position as described below. Receipt of the detent 26 within the first and second concavities 60, 62 retains the drive member 30 and the actuation member 54 in the retracted and advanced positions, respectively.
- the elongate body 14 includes a proximal portion supporting a coupling member 64 and a distal portion 66.
- the coupling member 64 is fixedly supported within a recess 68 ( FIG. 5 ) in a distal portion of the housing 18 to axially fix the elongate body 14 in relation to the housing 18.
- the distal portion 66 of the elongate body 14 supports the tool assembly 16.
- the coupling member 64 and distal portion 66 of the elongate body 14 are hollow and define a channel 70 ( FIG. 5 ) that receives the actuation member 54.
- the channel 70 is dimensioned to facilitate axial movement of the actuation member 54 between retracted and advanced positions in response to axial movement of the drive member 30.
- the distal portion 66 of the elongate body 14 defines a shield 74 ( FIG. 4 ) that includes a side wall 80 that defines a cavity 76 that receives a tip 78a of a suture needle 78 of the tool assembly 16 when the suture needle 78 is in an inactive position ( FIG. 8 ).
- the tip 78a is tapered to penetrate tissue and includes a suture opening 78b positioned adjacent the tapered tip 78a.
- the cavity 76 defined by the shield 74 extends in a direction parallel to the longitudinal axis "X" of the elongate body 14 and is positioned to receive the tip 78a of the suture needle 78 when the suture needle 78 moves from an active position ( FIG. 9 ) to an inactive position ( FIG.
- the tip 78a of the suture needle 78 is positioned within the cavity 76, the tip 78a of the suture needle 78 is guarded by the side wall 80 of the shield 74 to protect a clinician from needle stick injuries during handling of the closure device 10 before and after use.
- the actuation member 54 is movably positioned within the channel 70 ( FIG. 8 ) of the elongate body 14 between a retracted position ( FIG. 8 ) and an advanced position ( FIG. 11 ).
- the actuation member 54 includes a distal portion 82 having a bracket 84 ( FIG. 4 ) with spaced side walls 86 that define a channel 88.
- the side walls 86 each define openings 90 that receive pivot pins 92a, 92b as described in further detail below.
- the tool assembly 16 includes a housing 94 supported on the distal portion 14b of the elongate body 14, first and second links 96, 98, and the suture needle 78.
- Each of the first and second links 96, 98 defines an elongate slot 96a, 98a.
- the proximal portion of the suture needle 78 forms a yoke 100 that defines a channel 102 that receives distal ends of the first and second links 96, 98.
- the yoke 100 of the suture needle 78 is coupled to the bracket 84 of the actuation member 54 by the links 96, 98.
- each of the links 96, 98 has a proximal end that is pivotally coupled to the yoke 100 of the suture needle 78 by pivot members 104a, 104b and a distal end that is pivotally coupled to the housing 94 of the tool assembly 16 by pivot pins 106a, 106b.
- the first and second links 96, 98 are coupled to the bracket 84 of the actuation member 54 by the pivot pins 92a, 92b which extend through the elongate slots 96a, 98a of the first and second links 96, 98, respectively.
- the distal ends of the first and second links 96, 98 of the tool assembly 16 are pivoted downwardly towards the longitudinal axis "X" of the elongate body 14 to a position adjacent an outer surface of the distal portion 66 of the elongate body 14 to position the tool assembly 16 in the inactive position with the tip 78a of the suture needle 78 positioned within the shield 74 ( FIG. 7 ).
- the suture needle 78 defines an axis "Y" ( FIG. 8 ) that is substantially parallel to the longitudinal axis "X" of the elongate body 14.
- the first and second drive links 32, 34 are driven distally to advance the drive member 30 within the housing 18 of the handle assembly 12 against the urging of the biasing member 50.
- the drive member 30 is coupled to the proximal end of the actuation member 54 such that advancement of the drive member 30 within the housing 18 advances the actuation member 54 within the elongate body 14 of the closure device 10. As the actuation member is advanced within the elongate body 14 in the direction indicated by arrows "B" in FIG.
- the pins 92a, 92b are driven through the elongate slots 96a, 98a formed in the first and second links 96, 98, respectively to rotate the links 96, 98 in the direction indicated by arrows "C” in FIG. 11 about the pivot members 106a, 106b, respectively.
- the proximal ends of the first and second links 96, 98 move outwardly of the longitudinal axis "X" of the elongate body 14 to lift the suture needle 78 in the direction indicated by arrows "D" in FIG. 11 from its inactive position shown in FIG. 8 to its active position shown in FIG. 11 .
- the pivot pins 104a, 104b that secure the distal end of the first and second links 96, 98 to the proximal portion of the suture needle 78 are spaced from each other and axially fixed in relation to the suture needle 78.
- the longitudinal axis "Y" of the suture needle 78 remains substantially parallel to the longitudinal axis "X" of the elongate body 14 of the closure device 10 as the suture needle 78 is moved between its inactive and active positions.
- FIGS. 12-19 illustrate use of the presently disclosed closure device 10 for closing a port site incision "P" in a body wall "BW” of a patient after a minimally invasive surgical procedure.
- the elongate body 14 of the closure device 10 is inserted through the port site incision "P" in the body wall "BW” with a suture "S” secured to the suture needle 78 via the opening 78b to position the tool assembly 16 within a body cavity "BC".
- the tool assembly 16 is retained in the inactive position ( FIG.
- the tool assembly 16 is moved from the inactive position ( FIG. 12 ) to the active position ( FIG. 13 ) by compressing or moving the triggers 20 ( FIG. 1 ) towards each other to advance the actuation member 54 as discussed above.
- the tip 78a of the suture needle 78 moves outwardly of the longitudinal axis "X" of the elongate body portion 14 and is removed from the cavity 76 of the shield 74.
- the tip 78a of the suture needle 78 is directed towards the incision "P" and the handle assembly 12.
- the suture "S" is positioned to extend through the incision "P".
- the closure device 10 can be tilted and partially withdrawn from within the incision "P" in the direction indicated by arrows "E” to move the tip 78a of the suture needle 78 and a first end “S1" of the suture "S” at an angle through fascial and muscular layers of tissue of the body wall "BW" adjacent one side of the incision "P".
- the clinician grasps and pulls the first end "S1" through the incision "P".
- the closure device 10 is inserted back through the incision "P" in the body wall "BW” in the direction indicated by arrow "F” to reposition the tool assembly 16 within the body cavity "BC".
- the clinician may choose to return the tool assembly 16 to the inactive position to guard against inadvertently damaging internal organs during manipulation of the closure device 10.
- the closure device 12 can be rotated in the directions indicated by arrows "G" within the incision "P” to reposition the tip 78a of the suture needle 78 beneath an opposite side of the incision "P". If the closure device 10 is in the inactive position, the tool assembly 16 should be moved to the active position ( FIG. 16 ) after the closure device 10 is rotated to the position shown in FIG. 16 .
- the closure device 10 can be tilted in an opposite direction and partially withdrawn from within the incision "P" in the direction indicated by arrows "H” to move the tip 78a of the suture needle 78 and a second end “S2" of the suture “S” at an angle through fascial and muscular layers of the body wall "BW" adjacent an opposite side of the incision "P” to position the second end “S2" of the suture “S” adjacent the opposite side of the incision "P".
- the clinician grasps and pulls the second end “S2" of the suture "S” through the incision "P".
- the closure device 10 can be withdrawn from within the incision "P" and properly disposed of in a customary manner. Thereafter, the clinician can apply tension to the ends “S1” and “S2" of the suture “S” in the direction indicated by arrows "I” to close the incision "P".
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
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Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201962838956P | 2019-04-26 | 2019-04-26 | |
US16/835,633 US20200337691A1 (en) | 2019-04-26 | 2020-03-31 | Port site incision closure device |
Publications (1)
Publication Number | Publication Date |
---|---|
EP3730064A1 true EP3730064A1 (fr) | 2020-10-28 |
Family
ID=70470823
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP20171227.0A Withdrawn EP3730064A1 (fr) | 2019-04-26 | 2020-04-24 | Dispositif de fermeture d'incision de site d'orifice |
Country Status (3)
Country | Link |
---|---|
US (1) | US20200337691A1 (fr) |
EP (1) | EP3730064A1 (fr) |
CN (1) | CN111839627A (fr) |
Citations (5)
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US5374275A (en) * | 1993-03-25 | 1994-12-20 | Synvasive Technology, Inc. | Surgical suturing device and method of use |
US5458609A (en) * | 1992-09-04 | 1995-10-17 | Laurus Medical Corporation | Surgical needle and retainer system |
WO2009026079A1 (fr) * | 2007-08-17 | 2009-02-26 | Wilson-Cook Medical, Inc. | Dispositif pour ouvrir et fermer une paroi corporelle |
US20130153622A1 (en) * | 2011-12-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US20160045197A1 (en) * | 2008-06-17 | 2016-02-18 | Apollo Endosurgery, Inc. | Endoscopic Needle Assembly |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE4137218C1 (fr) * | 1991-11-13 | 1993-02-11 | Heidmueller, Harald, 5000 Koeln, De | |
US6582451B1 (en) * | 1999-03-16 | 2003-06-24 | The University Of Sydney | Device for use in surgery |
US6743241B2 (en) * | 2002-03-01 | 2004-06-01 | Intellimed Surgical Solutions Llc | Laparoscopic port site fascial closure device |
EP1765182A4 (fr) * | 2004-05-21 | 2013-04-03 | Neatstitch Ltd | Dispositif de suture |
US20110082473A1 (en) * | 2009-10-07 | 2011-04-07 | Tyco Healthcare Group Lp | Wound closure device including releasable barbs |
-
2020
- 2020-03-31 US US16/835,633 patent/US20200337691A1/en not_active Abandoned
- 2020-04-24 EP EP20171227.0A patent/EP3730064A1/fr not_active Withdrawn
- 2020-04-26 CN CN202010337629.0A patent/CN111839627A/zh active Pending
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5458609A (en) * | 1992-09-04 | 1995-10-17 | Laurus Medical Corporation | Surgical needle and retainer system |
US5374275A (en) * | 1993-03-25 | 1994-12-20 | Synvasive Technology, Inc. | Surgical suturing device and method of use |
WO2009026079A1 (fr) * | 2007-08-17 | 2009-02-26 | Wilson-Cook Medical, Inc. | Dispositif pour ouvrir et fermer une paroi corporelle |
US20160045197A1 (en) * | 2008-06-17 | 2016-02-18 | Apollo Endosurgery, Inc. | Endoscopic Needle Assembly |
US20130153622A1 (en) * | 2011-12-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
Also Published As
Publication number | Publication date |
---|---|
CN111839627A (zh) | 2020-10-30 |
US20200337691A1 (en) | 2020-10-29 |
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